Healthcare Provider Details

I. General information

NPI: 1497279236
Provider Name (Legal Business Name): SOUTHWEST HEALTH SYSTEM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2017
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 CENTRAL AVE
DOLORES CO
81323-8720
US

IV. Provider business mailing address

1311 N MILDRED RD
CORTEZ CO
81321-2231
US

V. Phone/Fax

Practice location:
  • Phone: 970-565-6666
  • Fax: 970-564-2155
Mailing address:
  • Phone:
  • Fax: 970-564-2155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ANTHONY SUDDUTH
Title or Position: CEO
Credential:
Phone: 970-564-2150